DI Certifying exam – Ultrasound case – Anorexia and abdominal pain
February 4, 2022
DI Examination Committee
Ultrasound case – Anorexia and abdominal pain
Signalment: 9 year old, castrated male, Toy Poodle
History: Anorexia, abdominal pain.
List the most important imaging findings.
List, in order of priority, the most likely differential diagnosis(es) and how these relate to the clinical signs.
Key Findings: • Focal hypoechoic mass of spleen; bulges from capsule, multifocal hyperechoic foci that shadow • Surrounding fat is hyperechoic • Mild anechoic abdominal fluid • hypoechoic nodules in the adjacent fat
Key Synthesis: • Abscess, necrotic neoplasia • Focal peritonitis with blood clots or fibrin